LEGACY SENIOR MANAGEMENT LLC – NPI #1881833614
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

LEGACY SENIOR MANAGEMENT LLC is an assisted living facility located in MESA, AZ. NPPES has assigned the NPI number 1881833614 to LEGACY SENIOR MANAGEMENT LLC on February 18, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “LEGACY SENIOR MANAGEMENT LLC” is a dba name, the actual legal business name for this organization is COPPER VILLAGE. The primary taxonomy selected by this provider is 310400000X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LEGACY SENIOR MANAGEMENT LLC below.

NPI Profile for
COPPER VILLAGE

NPI Number
1881833614
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COPPER VILLAGE
Doing Business As (dba): LEGACY SENIOR MANAGEMENT LLC
Primary location
5037 E BROADWAY RD
MESA, AZ 85206-1301
Phone: (480) 924-4073 Fax: (480) 396-0191
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JASON GUINN
A/R COORDINATOR
Phone: (602) 368-8203
Updated
Identifiers

Identifiers for LEGACY SENIOR MANAGEMENT LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ099345
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
310400000X
- Assisted Living Facility (Primary)
AZ ALC-5776

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.